CH EMED EPR, published by CARA. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CARA-ch/ch-emed-epr/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON

Resource Profile: CH EMED EPR Medication (DIS)

Definition of the medication for the medication dispense

Usage:

• Refer to this Resource Profile: PML MedicationDispense and DIS MedicationDispense

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CHEMEDMedicationMedicationDispense

Name	Flags	Card.	Type	Description & Constraints
Medication			CHEMEDMedicationMedicationDispense
meta
extension	D	0..*	Extension	✕ This element is not supported
versionId	D	0..1	id	✕ This element is not supported
lastUpdated	D	0..1	instant	✕ This element is not supported
source	D	0..1	uri	✕ This element is not supported
security	D	0..*	Coding	✕ This element is not supported
tag	D	0..*	Coding	✕ This element is not supported
implicitRules		0..0
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
code		1..1	CodeableConcept	Codes that identify this medication. GTIN or ATC code SHOULD be specified. See also treatment guidance page.
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
Slices for coding				Content/Rules for all slices
coding:GTIN		0..1	Coding	GTIN for Swiss products
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
coding:ATC		0..1	Coding	ATC for foreign products
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
status		0..1	code	active | inactive | entered-in-error Required Pattern: active
manufacturer		0..1	Reference(CH EMED EPR Organization)	Manufacturer of the item
form
extension	D	0..*	Extension	✕ This element is not supported
coding
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
text		1..1	string	Plain text representation of the concept
ingredient		0..*	BackboneElement	Ingredients SHOULD be specified. See also treatment guidance page.
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
Slices for item[x]				Content/Rules for all slices
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
batch
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Medication	C	0..*	CHEMEDMedicationMedicationDispense	CH EMED Medication (MedicationDispense) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management ch-emed-med-1: Medication or ingredient name has to be specified
extension	D	0..*	Extension	✕ This element is not supported ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	Σ	1..1	CodeableConcept	Codes that identify this medication. GTIN or ATC code SHOULD be specified. See also treatment guidance page. Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication. ele-1: All FHIR elements must have a @value or children
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for coding	Σ	0..*	Coding	Code of the medication Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:GTIN	SΣ	0..1	Coding	GTIN for Swiss products ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
system	Σ	1..1	uri	Global Trade Item Number (GS1) ele-1: All FHIR elements must have a @value or children Fixed Value: urn:oid:2.51.1.1
version	ΣD	0..1	string	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
userSelected	ΣD	0..1	boolean	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
coding:ATC	Σ	0..1	Coding	ATC for foreign products ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
system	Σ	1..1	uri	Anatomical Therapeutic Chemical (ATC) Classification ele-1: All FHIR elements must have a @value or children Fixed Value: http://www.whocc.no/atc
version	ΣD	0..1	string	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
userSelected	ΣD	0..1	boolean	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	string	Medication name ele-1: All FHIR elements must have a @value or children
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. ele-1: All FHIR elements must have a @value or children Required Pattern: active
manufacturer	Σ	0..1	Reference(CH EMED EPR Organization)	Manufacturer of the item ele-1: All FHIR elements must have a @value or children
form		0..1	CodeableConcept	Galenic form Binding: EDQM - Pharmaceutical Dose Form (required) ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding	SΣ	1..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
version	ΣD	0..1	string	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
userSelected	ΣD	0..1	boolean	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
amount	C	1..1	CHCoreRatioWithEmedUnits	Package size ele-1: All FHIR elements must have a @value or children rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
ingredient		0..*	BackboneElement	Ingredients SHOULD be specified. See also treatment guidance page. ele-1: All FHIR elements must have a @value or children
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for item[x]		1..1	CodeableConcept	The actual ingredient or content Slice: Unordered, Closed by type:$this Binding: ActivePharmaceuticalIngredient (preferred) ele-1: All FHIR elements must have a @value or children
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: ActivePharmaceuticalIngredient (preferred) ele-1: All FHIR elements must have a @value or children
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	SΣ	1..1	string	Ingredient name ele-1: All FHIR elements must have a @value or children
strength	SC	0..1	CHCoreRatioWithEmedUnits	Dose per unit ele-1: All FHIR elements must have a @value or children rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	required	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient
Medication.ingredient.item[x]:itemCodeableConcept	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-med-1	error	Medication	Medication or ingredient name has to be specified : code.text.exists() or ingredient.item.text.exists()
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

Name	Flags	Card.	Type	Description & Constraints
Medication	C	0..*	CHEMEDMedicationMedicationDispense	CH EMED Medication (MedicationDispense) ch-emed-med-1: Medication or ingredient name has to be specified
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
versionId	ΣD	0..1	id	✕ This element is not supported
lastUpdated	ΣD	0..1	instant	✕ This element is not supported
source	ΣD	0..1	uri	✕ This element is not supported
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	ΣD	0..*	Coding	✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	ΣD	0..*	Coding	✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension	D	0..*	Extension	✕ This element is not supported
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	Σ	1..1	CodeableConcept	Codes that identify this medication. GTIN or ATC code SHOULD be specified. See also treatment guidance page. Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code of the medication Slice: Unordered, Open by value:system
coding:GTIN	SΣ	0..1	Coding	GTIN for Swiss products
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Global Trade Item Number (GS1) Fixed Value: urn:oid:2.51.1.1
version	ΣD	0..1	string	✕ This element is not supported
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣD	0..1	boolean	✕ This element is not supported
coding:ATC	Σ	0..1	Coding	ATC for foreign products
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Anatomical Therapeutic Chemical (ATC) Classification Fixed Value: http://www.whocc.no/atc
version	ΣD	0..1	string	✕ This element is not supported
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣD	0..1	boolean	✕ This element is not supported
text	SΣ	1..1	string	Medication name
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. Required Pattern: active
manufacturer	Σ	0..1	Reference(CH EMED EPR Organization)	Manufacturer of the item
form		0..1	CodeableConcept	Galenic form Binding: EDQM - Pharmaceutical Dose Form (required)
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	ΣD	0..1	string	✕ This element is not supported
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣD	0..1	boolean	✕ This element is not supported
text	Σ	1..1	string	Plain text representation of the concept
amount	C	1..1	CHCoreRatioWithEmedUnits	Package size rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
ingredient		0..*	BackboneElement	Ingredients SHOULD be specified. See also treatment guidance page.
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
Slices for item[x]		1..1	CodeableConcept	The actual ingredient or content Slice: Unordered, Closed by type:$this Binding: ActivePharmaceuticalIngredient (preferred)
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: ActivePharmaceuticalIngredient (preferred)
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Ingredients coded with SNOMED CT Binding: ActivePharmaceuticalIngredient (extensible)
text	SΣ	1..1	string	Ingredient name
isActive		0..1	boolean	Active ingredient indicator
strength	SC	0..1	CHCoreRatioWithEmedUnits	Dose per unit rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
batch		0..1	BackboneElement	Details about packaged medications
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
lotNumber		0..1	string	Identifier assigned to batch
expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Medication.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Medication.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Medication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	required	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient
Medication.ingredient.item[x]:itemCodeableConcept	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient
Medication.ingredient.item[x]:itemCodeableConcept.coding	extensible	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-med-1	error	Medication	Medication or ingredient name has to be specified : code.text.exists() or ingredient.item.text.exists()
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

This structure is derived from CHEMEDMedicationMedicationDispense

Summary

Mandatory: 1 element(1 nested mandatory element)
Prohibited: 4 elements

Structures

This structure refers to these other structures:

• CH EMED EPR Organization (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-organization)

Differential View

This structure is derived from CHEMEDMedicationMedicationDispense

Name	Flags	Card.	Type	Description & Constraints
Medication			CHEMEDMedicationMedicationDispense
meta
extension	D	0..*	Extension	✕ This element is not supported
versionId	D	0..1	id	✕ This element is not supported
lastUpdated	D	0..1	instant	✕ This element is not supported
source	D	0..1	uri	✕ This element is not supported
security	D	0..*	Coding	✕ This element is not supported
tag	D	0..*	Coding	✕ This element is not supported
implicitRules		0..0
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
code		1..1	CodeableConcept	Codes that identify this medication. GTIN or ATC code SHOULD be specified. See also treatment guidance page.
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
Slices for coding				Content/Rules for all slices
coding:GTIN		0..1	Coding	GTIN for Swiss products
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
coding:ATC		0..1	Coding	ATC for foreign products
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
status		0..1	code	active | inactive | entered-in-error Required Pattern: active
manufacturer		0..1	Reference(CH EMED EPR Organization)	Manufacturer of the item
form
extension	D	0..*	Extension	✕ This element is not supported
coding
extension	D	0..*	Extension	✕ This element is not supported
version	D	0..1	string	✕ This element is not supported
userSelected	D	0..1	boolean	✕ This element is not supported
text		1..1	string	Plain text representation of the concept
ingredient		0..*	BackboneElement	Ingredients SHOULD be specified. See also treatment guidance page.
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
Slices for item[x]				Content/Rules for all slices
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
batch
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
modifierExtension		0..0
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Medication	C	0..*	CHEMEDMedicationMedicationDispense	CH EMED Medication (MedicationDispense) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management ch-emed-med-1: Medication or ingredient name has to be specified
extension	D	0..*	Extension	✕ This element is not supported ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	Σ	1..1	CodeableConcept	Codes that identify this medication. GTIN or ATC code SHOULD be specified. See also treatment guidance page. Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication. ele-1: All FHIR elements must have a @value or children
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for coding	Σ	0..*	Coding	Code of the medication Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:GTIN	SΣ	0..1	Coding	GTIN for Swiss products ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
system	Σ	1..1	uri	Global Trade Item Number (GS1) ele-1: All FHIR elements must have a @value or children Fixed Value: urn:oid:2.51.1.1
version	ΣD	0..1	string	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
userSelected	ΣD	0..1	boolean	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
coding:ATC	Σ	0..1	Coding	ATC for foreign products ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
system	Σ	1..1	uri	Anatomical Therapeutic Chemical (ATC) Classification ele-1: All FHIR elements must have a @value or children Fixed Value: http://www.whocc.no/atc
version	ΣD	0..1	string	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
userSelected	ΣD	0..1	boolean	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	string	Medication name ele-1: All FHIR elements must have a @value or children
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. ele-1: All FHIR elements must have a @value or children Required Pattern: active
manufacturer	Σ	0..1	Reference(CH EMED EPR Organization)	Manufacturer of the item ele-1: All FHIR elements must have a @value or children
form		0..1	CodeableConcept	Galenic form Binding: EDQM - Pharmaceutical Dose Form (required) ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding	SΣ	1..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
version	ΣD	0..1	string	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
userSelected	ΣD	0..1	boolean	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
amount	C	1..1	CHCoreRatioWithEmedUnits	Package size ele-1: All FHIR elements must have a @value or children rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
ingredient		0..*	BackboneElement	Ingredients SHOULD be specified. See also treatment guidance page. ele-1: All FHIR elements must have a @value or children
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for item[x]		1..1	CodeableConcept	The actual ingredient or content Slice: Unordered, Closed by type:$this Binding: ActivePharmaceuticalIngredient (preferred) ele-1: All FHIR elements must have a @value or children
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: ActivePharmaceuticalIngredient (preferred) ele-1: All FHIR elements must have a @value or children
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	SΣ	1..1	string	Ingredient name ele-1: All FHIR elements must have a @value or children
strength	SC	0..1	CHCoreRatioWithEmedUnits	Dose per unit ele-1: All FHIR elements must have a @value or children rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	required	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient
Medication.ingredient.item[x]:itemCodeableConcept	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-med-1	error	Medication	Medication or ingredient name has to be specified : code.text.exists() or ingredient.item.text.exists()
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Medication	C	0..*	CHEMEDMedicationMedicationDispense	CH EMED Medication (MedicationDispense) ch-emed-med-1: Medication or ingredient name has to be specified
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
versionId	ΣD	0..1	id	✕ This element is not supported
lastUpdated	ΣD	0..1	instant	✕ This element is not supported
source	ΣD	0..1	uri	✕ This element is not supported
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	ΣD	0..*	Coding	✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	ΣD	0..*	Coding	✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension	D	0..*	Extension	✕ This element is not supported
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	Σ	1..1	CodeableConcept	Codes that identify this medication. GTIN or ATC code SHOULD be specified. See also treatment guidance page. Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code of the medication Slice: Unordered, Open by value:system
coding:GTIN	SΣ	0..1	Coding	GTIN for Swiss products
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Global Trade Item Number (GS1) Fixed Value: urn:oid:2.51.1.1
version	ΣD	0..1	string	✕ This element is not supported
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣD	0..1	boolean	✕ This element is not supported
coding:ATC	Σ	0..1	Coding	ATC for foreign products
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Anatomical Therapeutic Chemical (ATC) Classification Fixed Value: http://www.whocc.no/atc
version	ΣD	0..1	string	✕ This element is not supported
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣD	0..1	boolean	✕ This element is not supported
text	SΣ	1..1	string	Medication name
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. Required Pattern: active
manufacturer	Σ	0..1	Reference(CH EMED EPR Organization)	Manufacturer of the item
form		0..1	CodeableConcept	Galenic form Binding: EDQM - Pharmaceutical Dose Form (required)
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	ΣD	0..1	string	✕ This element is not supported
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	ΣD	0..1	boolean	✕ This element is not supported
text	Σ	1..1	string	Plain text representation of the concept
amount	C	1..1	CHCoreRatioWithEmedUnits	Package size rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
ingredient		0..*	BackboneElement	Ingredients SHOULD be specified. See also treatment guidance page.
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
Slices for item[x]		1..1	CodeableConcept	The actual ingredient or content Slice: Unordered, Closed by type:$this Binding: ActivePharmaceuticalIngredient (preferred)
item[x]:itemCodeableConcept		0..1	CodeableConcept	The actual ingredient or content Binding: ActivePharmaceuticalIngredient (preferred)
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Ingredients coded with SNOMED CT Binding: ActivePharmaceuticalIngredient (extensible)
text	SΣ	1..1	string	Ingredient name
isActive		0..1	boolean	Active ingredient indicator
strength	SC	0..1	CHCoreRatioWithEmedUnits	Dose per unit rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
batch		0..1	BackboneElement	Details about packaged medications
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported
lotNumber		0..1	string	Identifier assigned to batch
expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Medication.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Medication.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Medication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	required	PharmaceuticalDoseFormEDQM http://fhir.ch/ig/ch-term/ValueSet/edqm-pharmaceuticaldoseform
Medication.ingredient.item[x]	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient
Medication.ingredient.item[x]:itemCodeableConcept	preferred	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient
Medication.ingredient.item[x]:itemCodeableConcept.coding	extensible	ActivePharmaceuticalIngredient http://fhir.ch/ig/ch-term/ValueSet/ActivePharmaceuticalIngredient

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-emed-med-1	error	Medication	Medication or ingredient name has to be specified : code.text.exists() or ingredient.item.text.exists()
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
rat-1	error	Medication.amount, Medication.ingredient.strength	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())

This structure is derived from CHEMEDMedicationMedicationDispense

Summary

Mandatory: 1 element(1 nested mandatory element)
Prohibited: 4 elements

Structures

This structure refers to these other structures:

• CH EMED EPR Organization (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-organization)

Other representations of profile: CSV, Excel, Schematron